The case Mr. C is an 85-year-old African American male with a history of diabetes, dementia, coronary artery disease, and multiple myocardial infarctions who is s/p coronary artery bypass graft (CABG) 5 years prior and who presented to the burn unit via ambulance. The patient presented with 15% total body surface area (TBSA) burn. Affected areas included bilateral hands, right lower extremity, and face, with an inhalation injury. The patient was intubated in the field and, when transferred to the burn unit, he was sedated and paralyzed and required blood pressure support with vasopressors. Bronchoscopy was done on admission, and his airway was full of soot and looked charred. Soot was present deep into all visual bronchi, and he required 100% FiO2on full mechanical support. Patient care Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Communicate effectively and demonstrate caring and respectful behaviors when interacting with patients and their families. Care in the burn intensive care unit (ICU) is similar to care in the operating room. Although in most cases, families are allowed back in the rooms, each patient is isolated and draped in sterile yellow plastic. With his airway already secured, part of the battle is over, but the war is just beginning. If burns do not preclude it, conventional airway management, such as mask fit, jaw lift, and mouth opening, as well as standard induction and intubation procedures may be employed.
|Original language||English (US)|
|Title of host publication||Core Clinical Competencies in Anesthesiology|
|Subtitle of host publication||A Case-Based Approach|
|Publisher||Cambridge University Press|
|Number of pages||8|
|State||Published - Jan 1 2010|
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